San Gabriel Valley Surgical Medical Grp, Inc
LBN: San Gabriel Valley Surgical Medical Grp, Inc
San Gabriel Valley Surgical Medical Grp, Inc is an health care organization with primary practice located at 1330 W Covina Blvd Suite 101, San Dimas CA 91773-3200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
San Gabriel Valley Surgical Medical Grp, Inc can be contacted via phone (909) 599-6784, or through Anapoell, Mark Frederick via phone (909) 599-6784.
Contact Information
Primary practice address
1330 W Covina Blvd Suite 101
San Dimas CA 91773-3200
Phone: (909) 599-6784
Fax: (909) 599-7073
Website:
Authorized official contact:
Name: Anapoell, Mark Frederick Doctor of Medicine (MD)
Phone: (909) 599-6784
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G6999 | California |
Profile Details
| NPI number | 1629078589 |
|---|---|
| LBN Legal business name | San Gabriel Valley Surgical Medical Grp, Inc |
| DBA Doing business as | |
| Authorized official | Anapoell, Mark Frederick Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Oct 18th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629078589 | NPPES |
| California | MEDICAID | ZZZ76029Z |
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